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1770652158

NPI Code Detail

MEDICARE: DIANE M HERSHOCK MD

MEDICARE: DIANE M HERSHOCK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0000X	Hematology (Internal Medicine) Physician	MD057563L	PA
2	207RX0202X	Medical Oncology Physician	MD057563L	PA
3	207RH0003X	Hematology & Oncology Physician	MD057563L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770652158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANE M HERSHOCK MD

Provider Business Mailing Address
First Line	:	1600 ST LUKES BLVD
Second Line	:
City	:	EASTON
State	:	PA
Zip	:	18045-5671
Country	:	US
Telephone Number	:	866-785-8537
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 ST LUKES BLVD
Second Line	:
City	:	EASTON
State	:	PA
Zip	:	18045-5671
Country	:	US
Telephone Number	:	484-658-5758
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	01/20/2026

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Directions to “ DIANE M HERSHOCK MD” Practice Location

Language	Start Address	Practice Location

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